Frame, Lens & Lens Option discounts apply only when purchasing a complete pair of eyeglasses, If purchased separately, members receive 20% off the retail price.
Benefits are not provided from services or materials arising from, 1)Orthoptic or vision training. subnormal vision aids and any associated supplemental testing: Aniseikonic lenses; 2) Medical and/or surgical treatment of the eye, eyes or supporting structures; 3) Any eye or Vision Examination. or any corrective eyewear required by a Policyholder as a condition of employment; Safety eyewear; 4) Seryices provided as a.result of any Workers' Compensation law. or similar legislation. or required by any governmental agency or program whether federal. state or subdivisions thereof; 5) Plano (non-prescription) lenses; 6) Non-prescription sunglasses; 7) Two pair of glasses in lieu of bifocals; 8) Services or materials provided by any other group benefit plan providing vision care 9) Services rendered after the date an Insured Person ceases to be covered under the Policy. except when Vision Materials ordered before coverage ended are delivered. and the services rendered to the Insured Person are within 31 days from the date of such order. 10) Lost or broken lenses. frames. glasses. or contact lenses will not be replaced except in the next Benefit Frequency when Vision Materials would next become available. Benefits may not be combined with any discount. promotional offering. or other group benefit plans. Standard/Premium Progressive lens not covered-fund as a Bifocal lens. Standard Progressive lens covered-fund Premium Progressive as a Standard. Underwritten by Combined Insurance Company of America. 5050 Broadway. Chicago. IL 60640. except in New York. CICA Form It VN P63007 0801. The Certificate of Insurance is on file with your employer. Benefit allowance provides no remaining balance for future use within the same benefit year. Fees charged for a non-insured benefit must be paid in full to the
Provider. Such fees or materials are not covered.
Applies only to benefit-eligible employees.